Individual
JACKIE RASHELLE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1227 S 9TH ST, SPRINGFIELD, IL 62703-2524
(217) 679-1406
(217) 679-1545
Mailing address
1227 S 9TH ST, SPRINGFIELD, IL 62703-2524
(217) 679-1406
(217) 679-1545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35500
IL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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